| Objective:To observe the clinical efficacy of acupuncture treatment of heart-kidney dissonance insomnia with "leveling north-south" method,and analyze the influence of "leveling north-south" method on frequency domain parameters of heart rate variability(HRV).Method:Using a randomized controlled trial,64 patients who met the inclusion criteria were randomly divided into treatment group and control group by calculating the sample size.In the treatment group,the "leveling north-south" method of acupuncture treatment was used,that is,Lingdao(HT 4)piercing Shenmen(HT 7),Sanyinjiao(SP 6),Taixi(KI 3),Baihui(DU 20),Sishencong(EX-HN 1),Anmian(EX-HN 22),Neiguan(PC 6)and Taichong(LR 3).In the control group,conventional acupuncture was used,that is,Baihui(DU 20),Shenmen(HT 7),Sanyinjiao(SP 6),Shenmai(BL 62),Zhaohai(KI 6),Anmian(EX-HN 22),Xinshu(BL 15),Shenshu(BL 23)and Taixi(KI 3).Acupuncture was performed once a day for 60 min,10 days as a course of treatment,a total of 2 courses.The quantitative grading score of TCM syndromes and Pittsburgh sleep quality index scoring scale were collected on the 0 and 20 days after treatment,and the data of sleep breathing monitor and frequency domain parameters of HRV were collected on the 0,1,2,20 and 30 days after treatment.The collected data were sorted out,and the clinical efficacy of the two groups of patients was compared.The influence of "leveling north-south" method on TCM syndromes and sleep quality was analyzed,as well as the short-term and long-term effects on sleep structure and the frequency domain parameters of HRV.Result:1.The total efficacy and TCM syndromes of the treatment group were better than those of the control group.2.All the scores and total scores of TCM syndromes in the treatment group were lower than before,and the range of reduction was greater than that in the control group.3.After treatment,both the patients in the treatment group and the control group had all the data of the sleep breathing monitor(except Unstable duration)improved with the change of time point compared to before,and the short term and long term efficacy were generally better in the treatment group than the control group.4.After treatment,the frequency domain parameters of HRV in both the treatment group and the control group were improved with the change of time point,and the short and long term efficacy of the treatment group was better than that of the control group.Conclusion:1.Both "leveling north-south" acupuncture and conventional acupuncture have good clinical effect on heart-kidney dissonant insomnia.2.The clinical effect of "leveling north-south" acupuncture on cardio-renal dissonance insomnia is superior to conventional acupuncture.It can improve the TCM syndromes,adjust the sleep structure,optimize the frequency domain parameters of HRV,and has good short-term and long-term efficacy,which is worthy of promotion. |
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